1662 MARITIME OAK DR - ELECTRIC 0% Ali._
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CITY OF ATLANTIC BEACH
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0 800 SEMINOLE ROAD
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J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1022
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 200 AMPS 5 SMK DET
Estimated Value:
Issue Date: 5/3/2016
Expiration Date: 10/30/2016
PROPERTY ADDRESS:
Address: 1662 MARITIME OAK DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: MCDONALD ELECTRIC
Address: 6915 WEST BEAVER ST QA LARRY BRIAN CARTER
Phone: - -
FEES:
Wired Smoke Detectors $10.00
Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
New Single Family Electrical $70.00
Total Payments: $139.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: I Co0 Z Mart n in/ OI /)✓ PERMIT# / 6-S Fat-- z'7a.
JEA INFORMATION REQUIRED ON ALL PERMITS ZOO AMPS 2-4 O VOLTS 1 PHASE
VALUE OF WORK$ 22 000
NEW SERVICE ❑ Overhead I Underground n1 Underground up Pole
__:Residential(Main)Service
0-100 amps _101-150amps i n-in-200amps _.. amps #of Meters
Commercial(Main)Service
70-100 amps 101-150amps i'151-200amps amps . CT Service amps
Conductor Type Size
-Multi-Family(Main)Service
0-100 amps 101-150amps !151-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps f 150amps :-200amps amps ICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: (09 0-30amps 31-100amps 101-200amps
Appliances: S' 0-30amps 31-100amps 101-200amps
A/C Circuits: L 0-60amps 61-100amps
Heat Circuits: Z # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 4/7
OTHER ELECTRICAL PROJECTS
Swimming Pool 1. Sign !-'S'moke Detectors 5 Qty Transformers KVA _Motors hp
., FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
11 REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change . ;OH to UG
Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name / v"'S I CL` Phone Number•
Electrical Company (Vi `(�cv�(d E"& � `' Office Phone ? ' 1Y"73 Fax -F367'/COV
Co. Address: 52 it (Al. 6.teA ''t- (5). • City (bd.,/ State r- Zip 3UJUJ
License Holder(Print): 4 414Yi . State Certification/Registration# �'-r coo 174 V
a ' 1 i u •e icense Holder / Zy—.e.
41�y11r':�. CHRISM THOMAS ,2.,:2_s
"��������� Sworn and subscribed before me this . day of M 1 20
A Notary Public.State of Florida Commission e fF 943955
; ' �� a�'My Comm.Expires Dec 15,2019 Signature of Notary Public //LL 4,W,
`; Bonded through National Notary Assn.